Media images of physicians and nurses in the United States.

This paper analyzes images of physicians and nurses presented in advertisements in the medical and nursing journals JAMA (Journal of the American Medical Association) and AJN (American Journal of Nursing). Advertisements are viewed as hyper-ritualized displays of symbols and rituals associated with medical and nursing practice, both reflecting and reaffirming stereotypes and beliefs that are widely held in the society at large. Trends over the past few decades show that medical advertisements are dropping some traditional symbols (such as the white coat and stethoscope) in favor of depicting science-in-action and high technology. Nursing advertisements, however, are more frequently utilizing the symbols formerly reserved for physicians. Both physicians and nurses are depicted in their respective journals as existing largely independent of one another. While these advertisements clearly do not depict social reality, they present a fictionalized version which reflects and reproduces some of the expressed ideals in medical and nursing practice.

Validity of a food frequency questionnaire for the determination of individual food intake.

The validity of a food frequency questionnaire for dietary assessment was tested with 31 college students living and dining in a dormitory. A food frequency questionnaire was mailed to participants requesting them to estimate their usual intake of specific food items. Actual food consumption was determined at each meal with self-report forms. These forms required participants to indicate foods chosen at that meal. To test the validity of the frequency questionnaire, regression equations were calculated for each individual using the frequency questionnaire data as the independent variable (X) and actual intake data as the dependent variable (Y). Eighty-four percent of the r values were greater than 0.50 and 55% were greater than 0.71. All were significant at the 0.002 level or below. As an alternative test of validity, the percentage of over- and underestimation of each food group was also assessed. Foods which are often major components of a meal (eg, flesh foods) were estimated with greater accuracy than those foods which could be considered accessory (eg, nuts or seeds). While it appears that a large percentage of individuals could accurately estimate their intake with this technique, some individuals were unsuccessful in doing so. Further research is needed to identify individual characteristics which may predict success with this technique.

Validity of telephoned diet recalls and records for assessment of individual food intake.

Six methods of assessing individual food intake reported by telephone were compared for accuracy. A sample of 107 students eating in a dormitory dining hall was used. Two 7-day and four 3-day diet records were reported by telephone to either an interviewer or an answering device; and fourteen 6-h recalls and seven 24-h recalls were obtained by an interviewer over the telephone. To examine validity, the investigators observed respondents' intake for 28 days. Food item agreement scores comparing observed and reported data were calculated. Seven-day records were most accurate (87% food item agreement); 3-day records and 6-h recalls were equivalent (75%); and 24-h recalls were least accurate (69%). There were no significant difference in accuracy of reporting records to an interviewer versus a recording device, but respondents preferred the interviewer. Results of telephoned reporting compare favorably with personal interview techniques used by other investigators, indicating that telephoned methods should be further explored in community settings.